TIFFANY KONSUM FONG
NPI 1023855756
Nurse Practitioner - Family in Sunnyvale, CA

Active since July 10, 2024PECOS EnrolledAccepts Medicare Assignment
201 OLD SAN FRANCISCO RD, SUNNYVALE, CA 94086(408) 730-4262(408) 523-3224 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tiffany Konsum Fong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY KONSUM FONG (NPI 1023855756) is an individual family provider in Sunnyvale, California, licensed in California (95030911) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023855756
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY KONSUM FONG
Location Address201 OLD SAN FRANCISCO RDSunnyvale, CA 94086-6385
Mailing Address325 Distel CirLos Altos, CA 94022-1408
Fax(408) 523-3224
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 10, 2024
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
NPI 1023855756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95030911
201 OLD SAN FRANCISCO RD, Sunnyvale, CA 94086

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tiffany Konsum Fong is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779014204
PECOS Enrollment IDI20241008001359
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
201 OLD SAN FRANCISCO RD
SUNNYVALE, CA 94086
Pediatrics
201 OLD SAN FRANCISCO RD
SUNNYVALE, CA 94086
Pediatrics
201 OLD SAN FRANCISCO RD
SUNNYVALE, CA 94086
Pediatrics
201 OLD SAN FRANCISCO RD
SUNNYVALE, CA 94086
Pediatrics
201 OLD SAN FRANCISCO RD
SUNNYVALE, CA 94086
Pediatrics
201 OLD SAN FRANCISCO RD
SUNNYVALE, CA 94086
Pediatrics
201 OLD SAN FRANCISCO RD
SUNNYVALE, CA 94086
Physician Assistant
201 OLD SAN FRANCISCO RD
SUNNYVALE, CA 94086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023855756, enumerated as an "individual" on July 10, 2024.

The provider is located at 201 OLD SAN FRANCISCO RD SUNNYVALE, CA 94086 and the phone number is (408) 730-4262.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.